Individual
DR. REBECCA S KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 W NORTHWEST HWY, PALATINE, IL 60067-2414
(847) 221-4700
(847) 221-4796
Mailing address
355 W NORTHWEST HWY, PALATINE, IL 60067-2414
(847) 221-4700
(847) 221-4796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036113736
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036113736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036113736
STATE LICENSE
IL
05
—
0361137361
—
IL
Enumeration date
06/30/2006
Last updated
07/01/2021
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